SOLUTION: CCA206 Care of Children and Adolescents | My Assignment Tutor

CCA206_Assessment_2_Brief_CaseStudy_Module 4.2Page 1 of 11 ASSESSMENT 2 BRIEFSubject Code and TitleCCA206 Care of Children and AdolescentsAssessmentCritical Appraisal of a Case StudyIndividual/GroupIndividualLength1800 words (+/- 10%)Learning OutcomesThe Subject Learning Outcomes demonstrated by successfulcompletion of the task below include:c) Critically analyse the psychosocial and cultural needs of the childor adolescent and their significant other and essential support inrelation to acute illness in child and adolescent primary healthcare.d) Explore the complexities of medication management withchildren and adolescents and interpret and apply to careplanning.e) Recognise child protection responsibilities and collaborativeprocesses with a multidisciplinary team.f) Identify and determine suitable risk assessment tools for usewithin children’s health care (as outlined in the National Safetyand Quality Health Services (NSQHS) Standards).SubmissionDue by 11:55pm AEST Sunday end of Module 4.2 (Week 8)Weighting35%Total Marks100 marks Task SummaryIn this assessment task, you will be required to Choose one (1) case study detailing a common clinical presentation inchildhood/adolescence; and Research and write a critical appraisal on your chosen case study. The word limit for this task is 1800 words (+/- 10%). This is an individual task. Please refer to the Task Instructions for details on how to complete this task.ContextThis assessment provides an opportunity for you to use the theoretical knowledge you haveacquired so far in CCA206 Care of Children and Adolescents. You are encouraged to question theCCA206_Assessment_2_Brief_CaseStudy_Module 4.2Page 2 of 11information presented to you in the case study, recommend appropriate courses of action andprovide rationale supported by references to theory and evidence. When making recommendations,keep in mind the philosophy of patient-and family-centred care.Task InstructionsTo complete this assessment task, you must: Read the two case studies presented. Choose one (1) case study to critically appraise. Please ensure you consider the following points as you complete your case study report(subheaders are not required):1. Outline and describe the pathophysiology of the clinical diagnosis.2. Outline, describe and analyse the signs and symptoms of the clinical presentation.3. Describe and interpret the growth and development of the child/adolescent in yourcase study and any important concepts relating to this.4. Identify the child protection responsibilities of a Registered Nurse in yourstate/territory and apply it to your case study.5. Describe and analyse the multidisciplinary processes for handling complexsafeguarding issues for your chosen case study.6. Identify and explore medication management complexities in your chosen casestudy, to include the interpretation and application to care planning.7. Complete an appropriate risk assessment for chosen case study, to includeidentifying and appraising suitable risk assessment tools, applying one tool, anddetermining risk management measures to be integrated into patient care plan.Please also be aware of the following requirement: Write your case study report in the 3rd person. Present your own original work using multiple academic references from academic books,peer reviewed scientific journal articles and other credible sources (.edu, .gov and .orgwebpages). Familiarise yourself with the rubric to ensure you are addressing the relevant elementswithin your critical appraisal. Present your academic references on a separate page using APA (6th ed.) guidelines. Submit your report as a word document and not in protected view. Present your assessment in 12-point font, Arial or Times New Roman, 1.5 line spaced and aminimum of 2.5cm margins.Referencing15+ references are required for this assessment task. Use recent, relevant and reliable resources tocomplete this task. These should be peer-reviewed literature, related to the subject matter and noolder than seven years.CCA206_Assessment_2_Brief_CaseStudy_Module 4.2Page 3 of 11It is essential that you use appropriate APA (6th ed.) style for citing and referencing research. Pleasesee more information on referencing here http://library.laureate.net.au/research_skills/referencingGradingMarking of this assessment will be conducted using the attached rubric.Submission InstructionsThe case study report should be submitted via the Assessment 2 link in the main navigation menu inCCA206 Care of Children and Adolescents Blackboard site. The learning facilitator will providefeedback via the Grade Centre in the LMS portal. Feedback can be viewed in My Grades.Case StudiesCase Study (Option 1)Patient Name: AmarPatient age: 5 monthsMrs Sooma, attends the Emergency Department (ED) with her 5-month-old son Amar.She is concerned that her son has had a cough, runny nose and congestion for three days, and isgradually getting worse. Overnight, he coughed very forcefully until he vomited, and this morning,his mother noticed he was breathing faster, feels like he has a fever and is taking in less formula.He has not had a wet nappy in four hours. His 4-year-old sister has a cold and Amar attends a localday care centre. Mrs Sooma has four children under six years of age, which she brings up alone afterher husband died recently in car accident. You are Amar’s admitting nurse.Amar was born at 32 weeks gestation measuring 38.1cm and weighing 1421grams.He remained in hospital until six weeks of age. Since discharge, he has been weighed/measuredregularly and you perform an admission weight/length and plot Amar’s growth on the World HealthOrganisation (WHO) growth charts. His mother is concerned that he is not growing well as he ismuch smaller than children of a similar age. AgeCorrected AgeWeight (kg)Length (cm)3 months1 month3.050.95 months3 months4.555.9 CCA206_Assessment_2_Brief_CaseStudy_Module 4.2Page 4 of 11When you are weighting Amar, you notice that he has several small bruises on his left lateral upperarm, which are on the bicep and tricep region. Further observation notes a non-blanching petechiaeon his neck, jaw line and upper chest.Mrs Sooma openly explains that her 4-year-old toddler has begun to bite with her temper tantrums.Mrs Sooma recounts events relating to the bruise/bite mark and becomes quite emotional, she shedssome tears. She explains Amar’s 4-year-old sister had bitten him on the left arm which she thinks looksmore like a bruise now almost a week later. She explained how she noticed the ‘little pinpoint spots’on his chest this morning when she bathed him. You clearly document and report to the senior nurseon duty and the attending Doctor your findings whilst weighing Amar.Further physical examination shows Amar’s vital signs as: Temperature: 38.4°C heart rate:150 beats per minute respiratory rate: 60 breaths per minute blood pressure:90/50 mmHg. oxygen saturation: 91% on room air.He appears alert and smiles sometimes but is clearly tachypnoeic and has a moist cough. You notemoderate subcostal and intercostal retractions, with mild nose flaring.On auscultation of his chest, there are widespread crackles audible throughout both lung fields, whichhave a “wet” quality. There is equal air entry bilaterally with a faint lower bibasal wheeze evident onexpiration only.The admitting Doctor reviews Amar and documents a clinical diagnosis of moderate viral bronchiolitis.He informs Amar’s mother that he will need admission to hospital.The plan of care includes: Intravenous fluids Intravenous antibiotics Insertion of an IV cannula Oral liquid paracetamol 30/24 vital signs Continuous Sp02 monitoring 4/24 nebulised Salbutamol Review by a doctor in four hours unless further deterioration is noted by nursing staff.You are aware of the hospital guideline for the management of Bronchiolitis and note a PaediatricMedical review and consultation is expected, when bronchiolitis is assessed as being moderate orsevere.CCA206_Assessment_2_Brief_CaseStudy_Module 4.2Page 5 of 11Case Study (Option 2)Patient name: LucyPatient age: 6Mrs Hawkins attends the Emergency Department (ED), with her 6-year-old daughter Lucy.She is concerned that Lucy has developed a rash, her cough is worsening, and her fever continuesdespite treatment from her General Practitioner (GP). Mrs Hawkins first brought her daughter to seethe GP three days beforehand, when she developed a fever for 48hrs, had a troublesome cough, itchywatery eyes, and a runny nose and complained of a sore ear.The GP diagnosed conjunctivitis with otitis media and prescribed oral antibiotics. Since then, Lucy hasdeteriorated, and earlier today she developed a facial rash that proceeded to spread to her torso.You take scales into Lucy’s treatment room, undress her to take a weight and height: Weight 15kg Height 115cmOn first impressions, you are very concerned that Lucy looks extremely underweight, as you can seethe bones in her rib cage. Her skin is smudged with dirt and her clothes stained and smelly. She alsohas a visible red rash on her face which has progressed to her back. She is quiet and somewhatunresponsive with inconsistencies between her responses and her mother’s.You observe that Mrs Hawkins does not comfort Lucy when she becomes upset and appears to berough and impatient when instructing her to re-dress.Lucy was a born 3.4kg at f39.4 weeks and born via vaginal delivery. She has no medical or surgicalhistory, or previous hospitalisations. She does not take any medication, other than the oral antibioticsprescribed the GP. She has no known drug allergies. Lucy has no siblings and her Father is reported tobe healthy.Mrs Hawkins has Type 1 diabetes. No other diseases noted paternally or maternally. Mrs Hawkinsexplains to you that her daughter has not had any of the recommended immunisations as she (theMother) has refused consent. Lucy is also home schooled.Meanwhile, you become increasingly concerned that Lucy appears to be deteriorating clinically(changes to her vital signs) and you escalate your reporting to an immediate assessment andtreatment by the Paediatrician in the Emergency Department.On physical examination:CCA206_Assessment_2_Brief_CaseStudy_Module 4.2Page 6 of 11 Temperature: 39.6°C Heart rate: 130 beats per minute Respiratory rate: 52 breaths per minute No blood pressure was recordable. Oxygen saturation: 90% on room airYou commence supplemental oxygen via nasal prongs at 2L/min. Lucy has bilateral conjunctivitis, anormal oral pharynx, decreased breath sounds with fine crepitation throughout, moderate subcostalretractions and a generalised erythematous macular-papular rash to her face, trunk and upperextremities.The Paediatrician is working on a clinical diagnosis of measles with moderate to severe pneumonia.She informs Lucy’s mother that admission is required and recommends close monitoring in anisolation room.The plan of care includes: Oxygen to maintain saturations >92% with continuous Sp02 monitoring Continuous cardiac monitoring via a 3 lead ECG Regular reassessment for possible further respiratory support. Urgent chest x-ray Nose & throat swabs IV cannula IVT Normal saline 1000ml 12/24 Oral liquid paracetamol Blood cultures Full blood count Electrolytes C-reactive protein and Measles serologyCCA206_Assessment_2_Brief_CaseStudy_Module 4.2 Page 7 of 11Assessment Rubric Assessment AttributesFail(Yet to achieveminimum standard)0-49%Pass(Functional)50-64%Credit(Proficient)65-74%Distinction(Advanced)75-84%High Distinction(Exceptional)85-100%Understanding andapplication of theoreticalunderpinnings and keyconcepts The pathophysiologyof the clinicaldiagnosis, and thesigns and symptoms ofthe clinicalpresentation, for yourchosen case study Growth anddevelopment of childor adolescent and theirapplication to chosencase studyPercentage for thiscriterion = 40%Limited understandingand/or application oftheoretical underpinningsand key concepts: Failing to identify ordescribe anypathophysiologicalprocesses of the clinicaldiagnosis; or Failing to identify theany signs and symptomsof the clinicalpresentation. Failure to describe orinterpret growthpattern; or Failure to identify anyimportant concepts todiscuss with the child oradolescent and theirfamily.Demonstrates a functionalunderstanding of thetheoretical underpinningsand key concepts by: Identifying the keypathophysiologicalprocesses of the clinicaldiagnosis, and providinga limited descriptionand cursory analysis ofthem; Identifying the key signsand symptoms of theclinical presentation,and providing a limiteddescription and cursoryanalysis of them; and Providing a limiteddescription andinterpretation ofgrowth pattern.Demonstrates functionalapplication by Identifying someimportant concepts todiscuss with the child oradolescent and theirfamily withoutreferencing anyrelevant sources.Demonstrates a proficientunderstanding of thetheoretical underpinningsand key concepts by: Identifying the keypathophysiologicalprocesses of the clinicaldiagnosis, and providinga description of them toa cellular level; and Identifying the key signsand symptoms of theclinical presentationand provides adescription that linksthem to thepathophysiology andincludes some analysisfrom one or twosources with littlecorrelation.Above averageunderstanding of keyconcepts related to growthand development of a childor adolescentdemonstrated by:•Providing a detaileddescription andDemonstrates an advancedunderstanding of thetheoretical underpinningsand key concepts by: Identifying andproviding a detaileddescription of allpathophysiologicalprocesses of the clinicaldiagnosis to a cellularlevel, and an analysis,which is linked to atleast two appropriateresources that providerelevant correlation;and Identifying andproviding a detaileddescription of the signsand symptoms of theclinical presentation,and an analysis thatlinks them to thepathophysiology, andincludes at least twoappropriate resourcesthat provide relevantcorrelation.Advanced understanding ofkey concepts related toDemonstrates anexceptional understandingof the theoreticalunderpinnings and keyconcepts by: Identifying andproviding an extensivedescription of allpathophysiologicalprocesses of the clinicaldiagnosis to a cellularlevel, which includesexhibiting the ability tocorrectly correlate andinterpret evidence fromthree or more relevantsources to validateunderstanding; and Identifying andproviding an extensivedescription of the signsand symptoms of theclinical presentation,and an analysis thatclearly links them to thepathophysiology, whichincludes exhibiting theability to correctlycorrelate and interpretevidence from three or CCA206_Assessment_2_Brief_CaseStudy_Module 4.2 Page 8 of 11 interpretation of growthpattern; and•Identifies the importantconcepts and providessome analysis of theconcepts to discuss withthe child or adolescent andtheir family with referenceto at least one relevantsource.growth and developmentof a child or adolescentdemonstrated by:•Providing a detaileddescription andinterpretation of growthpattern; and•An in-depth analysis of allthe important concepts todiscuss with the child oradolescent and theirfamily, to include, somereference to relevanthealth promotion activitiesand evidence from two ormore relevant sources.more relevant sourcesto validateunderstanding.Exceptional understandingof key concepts related togrowth and developmentof a child or adolescentdemonstrated by:•Identifying and providingan extensive descriptionand interpretation ofgrowth pattern; and•Providing an in-depthcorrelation andinterpretation of all theimportant concepts, toinclude, reference togeneral health anddevelopment, feedingpractices, social history,outlining relevant healthpromotion activities andfuture monitoring.Evidence from three ormore sources used tovalidate understanding.Recognition of the childprotection responsibilitiesof a Registered Nurse inown region/state anddescribe themultidisciplinary processesfor handling complexsafeguarding issues forchosen case studyLimited recognition anddescription demonstratedby: Failing to recognise theregional/state childprotectionresponsibilities of aRegistered Nurse asapplied to the casestudy; andBasic recognition anddescription demonstratedby: Identifying some of thekey regional/state childprotectionresponsibilities of aRegistered Nurse butwith limited applicationto case study; andSufficient recognition anddescription by: Identifying all keyregional/state childprotectionresponsibilities of aRegistered Nurse withbasic application to casestudy; andAbove average recognitionand description by: Identifying all of the keyregional/state childprotectionresponsibilities of aRegistered Nurse withsome detailedapplication to casestudy; andAdvanced recognition anddescription demonstratedby: Identifying all of thepotential regional/statechild protectionresponsibilities of aRegistered Nurse withconsiderable CCA206_Assessment_2_Brief_CaseStudy_Module 4.2 Page 9 of 11 Percentage for thiscriterion = 20% Failing to identify ordescribemultidisciplinaryprocesses for handlingcomplex safeguardingissues related to chosencase study. Providing a basicdescription of themultidisciplinaryprocesses for handlingcomplex safeguardingissues related to chosencase study withoutsufficient evidence tosupport the approach. Providing a clear, logicaldescription of themultidisciplinaryprocesses for handlingcomplex safeguardingissues related to chosencase study withreference to at leastone relevant source. Providing a detaileddescription of themultidisciplinaryprocesses for handlingcomplex safeguardingissues related to chosencase study withevidence from two ormore relevant sources.application to casestudy; and Providing an in-depthdescription with someanalysis of themultidisciplinaryprocesses for handlingcomplex safeguardingissues related to chosencase study withevidence three or moresources used to validateunderstanding.Medication managementApply sound clinicalreasoning to identify andexplore medicationmanagement complexitiesin your chosen case study,to include interpretationand application to careplanning.Percentage for thiscriterion = 20%Limited clinical reasoningdemonstrated by: Failing to identify anyconcerns/complexitiesrelated to medicationmanagement; or Identifying someconcerns, but failing toincorporate these intopatient care planning.Basic clinical reasoningdemonstrated by: Recognising the keyconcern/complexityrelated to medicationmanagement; and Formulating a basic planfor how this concerncould be addressed andincorporated intopatient care planning,which includesreference to anevidence basedguideline only.Above average clinicalreasoning demonstratedby: Identifying and partiallyappraising the keyconcerns/complexitiesrelated to medicationmanagement; and Formulating a logicalplan for how theseconcerns could beaddressed, identifyingnursing interventionsthat could be appliedand integrated into careplanning, whichincludes reference to anevidence basedguideline and one otherrelevant source.Advanced clinicalreasoning demonstratedby: Critical analysis of thekey concerns/complexities related tomedicationmanagement; and Formulating a detailedplan for how theseconcerns could beaddressed, the nursinginterventions that couldbe applied andintegrated into careplanning, whichincludes reference to anevidence basedguideline and two ormore relevant sources.Exceptional clinicalreasoning demonstratedby: Critical evaluation ofthe complexities relatedto medicationmanagement; and Formulating a holisticfamily centred care planaddressing theconcerns, outlining thenursing interventions tobe applied andintegrated into careplanning, including anevidence basedguideline, and three ormore relevant sources. CCA206_Assessment_2_Brief_CaseStudy_Module 4.2 Page 10 of 11 Child protectionresponsibilitiesApply sound clinicalreasoning skills needed toperform an appropriaterisk assessment for chosencase study, to includeidentifying and appraisingsuitable risk assessmenttools, applying one tool,and determining riskmanagement measures tobe integrated into patientcare plan.Percentage for thiscriterion = 10%Limited clinical reasoningskills demonstrated by: Failing to fully considerthe patient situationand not identifying anyrisk assessment toolsrelevant to the casestudy; or Identifying a list of riskassessment tools butfailing to apply themappropriately to patientcase and/or careplanning.Basic clinical reasoningskills demonstrated by: Identifying at least twoimportant riskassessment tools,providing rationale foryour choice; and Basic application of onerisk assessment tooland integration ofinformation into patientcare planning, butwithout sufficientevidence to support theapproach.Above average clinicalreasoning skillsdemonstrated by: Identifying and partiallyappraising the key riskassessment tools asthey relate to the casestudy; and Appropriately appliesone risk assessmenttool and the evidenceobtained is used toformulate a focusedcare plan, withappraisal that includesreference to evidencefrom one or morerelevant sources.Advanced clinicalreasoning skillsdemonstrated by: Critical analysis of allimportant riskassessment tools asthey relate to the casestudy, with reference toappropriate NSQHSstandards; and Appropriately appliesone or more riskassessment tools andformulates a detailedcare plan thatappropriately integratesevidence from one ormore relevant sourcesfor each tool identified.Exceptional clinicalreasoning skillsdemonstrated by: Critical evaluation ofthe risk assessmenttools used in children’shealth care usingcriteria governed byNSQHS standards; and Formulating a holisticfamily centred careplan, which integratesthe evidence from riskassessments anddetermines detailed riskmanagement measuresto be integrated intocare planning, includingthe evidence from threeor more relevantsources.Academic SkillsDemonstration of correctcitation and referencingDemonstration ofappropriate grammar,language and structurePercentage for thiscriterion = 10%Required APA referencingstyle not followed for mostreferences provided.Inconsistent use of goodquality, credible andrelevant resources tosupport and developunderstanding.Insufficient paraphrasingpresent throughout report.Inconsistent use of correctgrammar, spelling,language and structure;Required APA referencingstyle not followed for somereferences provided.Fewer than sevenappropriate resources usedto support and developunderstanding that are ofgood quality, credible andrelevant.Sufficient paraphrasingpresent throughout report.Basic use of correctgrammar, spelling,Required APA referencingstyle followed for mostreferences provided.Seven to ten appropriateresources used to supportand develop understandingthat are of good quality,credible and relevant.Paraphrases wellthroughout case study.Consistent use of correctgrammar, spelling,language and structure;Required APA referencingstyle followed for allreferences provided.Ten to fifteen appropriateresources used to supportand develop understandingthat are of good quality,credible and relevant.Great demonstration ofparaphrasing skillsthroughout case study.Advanced use of correctgrammar, spelling,Required APA referencingstyle followed for allreferences provided.Fifteen or moreappropriate resources usedto support and developunderstanding that are ofgood quality, credible andrelevant.Exceptional paraphrasingpresent throughout casestudy. CCA206_Assessment_2_Brief_CaseStudy_Module 4.2 Page 11 of 11 writing difficult to followwith frequent mistakes.language and structure;writing difficult to followwith some mistakes.writing easy to follow withsome mistakes.language and structure;writing easy to follow withminimal mistakes.Exceptional use of correctgrammar, spelling,language and structure;writing easy to follow withvery few mistakes